Individual
MICHAEL W GROF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2450 44TH ST SE, SUITE 207, KENTWOOD, MI 49512-9081
(616) 243-9898
(616) 243-4296
Mailing address
2450 44TH ST. SUITE 207, KENTWOOD, MI 49512-0981
(616) 243-9898
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101009538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1354145115
BCBSM
MI
05
—
2639034
—
MI
Enumeration date
05/05/2006
Last updated
07/07/2010
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